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NPI Code Detail

MEDICARE: MISS LISA ESPINOZA LCSW

MEDICARE: MISS LISA ESPINOZA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social WorkerLCSW69686CA

General Provider Information

NPI Number : 1831356088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LISA ESPINOZA LCSW
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6601
Fax Number : 661-868-6666
Provider Business Practice Location Address
First Line : 5801 SUNDALE AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2924
Country : US
Telephone Number : 661-827-4529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2008
Last Update Date : 10/29/2019

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Directions to “ MISS LISA ESPINOZA LCSW” Practice Location

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